IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT __________________ In the Matter of the Necessity for the Hospitalization of: , Respondent. ) ) ) ) ) )
Case No. NOTICE OF RESPONDENT'S ARRIVAL AT EVALUATION FACILITY
To: CLERK OF COURT , ALASKA Please take notice that respondent arrived at
on __________________________, 20_____, at _________ ___.m.
Date
Signature Printed Name Title
The Superior Court at _____________________ was notified by telephone on __________________________, 20_____ at _____________ ____.m. This notice was mailed to the court on ______________________, 20____.
Name and Title Distribution: Original to court Copy to evaluation facility
MC-400 (3/01)(st.2) NOTICE OF RESPONDENT'S ARRIVAL AT EVALUATION FACILITY
AS 47.30.715